Revelation Prosthetics, Inc.

LBN: Revelation Enterprises Inc
Revelation Prosthetics, Inc. is an health care organization with primary practice located at 4521 Nw 3Rd St , Oklahoma City OK 73127-6401. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Revelation Enterprises Inc can be contacted via phone (405) 319-0685, or through Mullin, Anita C via phone (405) 319-0685.

Contact Information

Primary practice address
4521 Nw 3Rd St Oklahoma City OK 73127-6401
Phone: (405) 319-0685
Fax: (405) 319-0684
Website:
Map and Directions
Authorized official contact:
Name: Mullin, Anita C CMF
Phone: (405) 319-0685

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X 39 Oklahoma

Profile Details

NPI number 1740366210
LBN Legal business name Revelation Enterprises Inc
DBA Doing business as Revelation Prosthetics, Inc.
Authorized official Mullin, Anita C CMF
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Jan 24th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740366210 NPPES
Oklahoma MEDICAID 100812360A

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